SGN2004-00112 CITY OF TIGARD SIGN PERMIT
1 DEVELOPMENT SERVICES PERMIT #: SGN2004 -00112
Ij 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/19/2004
PARCEL: 1 S135DD -04500
BUSINESS NAME: MASSAGE ON THE GO ZONE: C -P
SIGN LOCATION: 08875 SW CENTER ST JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2' X 6'
TOTAL SIGN AREA: 12 sq. ft.
WALL AREA: 600 sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one wall sign. (2' x 6')
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. A permanent sign must be
placed within 90 days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity
date. A balloon sign shall expire 10 days from valid date.
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APPROVED BY: 4
PERMITTEE SIGNATURE: � 1. :
�
DATE: 5/19/200
A 4,4 1 )k
i_ „iv SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Ha11 Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
z-, FOR STAFF USE ONLY
Site kti ;Sru e CZ" 1 - flu Q U
Address/ Street Address j Permit No.: S C,1∎1 a6tx( -- 0 0 1 a
Location - 1 q S W iia 1'
Suite /Bldg. # City /State Zip Expiration Date:
�(PA.� I 97'7 Receipt #: 0 o b 4— a 1e)
Name �1 Approved By: C • C--
Property ∎ n1 - 1 oA n30 - Date: 5 - 04
Owner Mailing Address ) Suite Map /TL #: 1 S 135 D t) — 0c(,s-oa
- 1 S 6 Zoning: C.- P
rr
City/State Zip Phone
119
Tenant or
Name Gt{U `l -1U3 Electrical Permit Required? ❑ Yes No
Business Oa sCcu { ,� (�y 'OIL � () Building Permit Required? ❑Yes No
Name QQ Rev. 8/7/2003 is \curpin \masters \revised \sign permit app.doc
Sign
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a w ithout the required submittal elements
copy of all City/State Zip Phone q elements)
licenses are
required if ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database)
(3 copies, if a building permit is required)
Proposed 1 Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17"
Sign ❑ Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Other El Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale
apply)
(3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions'
WO (, c - } - b 24 ❑ $31.00 Fee (Permanent sign, any size)
Total Sign Area (soft.):
I Z 5 - ❑ $15.00 Fee (Temporary sign, any type)
Total Wall Area (sq. ft. Jurisdiction: ❑ City ❑ Urb
Sign Data ,Q 3 L, L,._) r-
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N / E W NE NW SE SW
Height to top of sign (feet): • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): I/2_ t� but must include dimensions of wall face and
sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes gl No building permit.
Type: ❑ Internal External • If work authorized under a sign permit has not
Are there any existing freestanding or wall signs at this been completed within ninety (90) days after
location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
` Yes ❑ No BECOME NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and -
square footage must also be submitted.
(OVER FOR SIGNATURES)
I hereby acknowledge that I have read this application, that the information given is
correct, that I am the owner or authorized agent of the owner, and that plans submitted are
in compliance with the City of Tigard.
DATED this GL/ -[a( day of /6--j [ / , 20 0
Signature of Ow e- /Agent
713 6' /J-
Contact Pers Name Phone No.
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13125 SW Hall Blvd. 9:30:33AM
$90 �� Tigard, Oregon 97223
'� (503) 63 9-4 17 1
Receipt #: 27200400000000002121
Date: 05/19/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00111 [SIGN] Sign Permit 100- 0000 - 437000 31.00
SGN2004 -00112 [SIGN] Sign Permit 100- 0000 - 437000 31.00
Line Item Total: $62.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Cash MARY DALTON CAC In Person 62.00
Payment Total: $62.00
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